Stream: social
Topic: Diagnose
Mohsen Jafari (Jul 14 2021 at 13:29):
I need to provide the date & time when a diagnosis was done, but I don't know which FHIR resource would be appropriate for this?
Josh Mandel (Jul 14 2021 at 13:31):
Condition
Josh Mandel (Jul 14 2021 at 13:32):
http://hl7.org/fhir/condition-definitions.html#Condition.recordedDate is probably what you're looking for ; definitely try to populate http://hl7.org/fhir/condition-definitions.html#Condition.onset_x_ too
Mohsen Jafari (Jul 14 2021 at 13:42):
So, what about the other items about diagnosis? for example, I also need to represent "ICD" code of the diagnosis (i.e., International Standardized Code for Diagnosis), and "side" of the body (i.e., which side of the body), and "part" of the body (i.e., which part of the body). @Josh Mandel
Ewout Kramer (Jul 14 2021 at 13:59):
See http://hl7.org/fhir/condition.html
Ewout Kramer (Jul 14 2021 at 14:00):
hint: code, bodySite.
Eric Whitley (Jul 14 2021 at 14:04):
Mohsen Jafari said:
So, what about the other items about diagnosis? for example, I also need to represent "ICD" code of the diagnosis (i.e., International Standardized Code for Diagnosis), and "side" of the body (i.e., which side of the body), and "part" of the body (i.e., which part of the body). Josh Mandel
I'm far from an expert, but I would think there are two options here:
1) Use a coded concept that is designed to contain that level of detail (some do). EX: ICD-10/11 contain a lot of laterality data and SNOMED CT is able to resolve to a very specific body site, but I don't think it directly conveys laterality.
2) Supplement the coded concept with bodysite data (http://hl7.org/fhir/condition-definitions.html#Condition.bodySite)
"Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both."
The approach would be dependent upon your use case and agreement with downstream consumers.
I would really be curious to know how others approach this. Personally, I think I've been lucky to get get reliable coded condition data . Having a separate body site definition or even encountering a specific enough code to convey body site would be make me crazy happy (I need to get out more).
Josh Mandel (Jul 14 2021 at 14:49):
I'd recommend reading http://hl7.org/fhir/condition.html from top to bottom -- come back on #implementers if you have questions.
Mohsen Jafari (Jul 14 2021 at 14:54):
@Josh Mandel , I read the Condition resource and now have some other questions which I could not find the answer; so, I will ask my next questions in #implementers .
Last updated: Apr 12 2022 at 19:14 UTC
